{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:46:30Z","timestamp":1770299190343,"version":"3.49.0"},"reference-count":58,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the incidence and the risk factors for the development of dysphagia in patients with coronavirus disease 2019 (COVID\u201019) undergoing orotracheal intubation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective cohort study, we evaluated consecutive patients diagnosed with COVID\u201019 and underwent orotracheal intubation were evaluated. During hospitalization, extubated patients were classified as dysphagic and nondysphagic based on bedside functional assessment of swallowing. Patients discharged from hospital were asked to complete the Eating Assessment Tool\u201010 (EAT\u201010) questionnaire, followed by an endoscopic examination to identify laryngotracheal lesions, and a fiberoptic endoscopic evaluation of swallowing (FEES). The food consistencies used for FEES were moderately thick, extremely thick, thin, and regular.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on the functional assessment of swallowing, performed a mean of 5.3\u2009days and a median of 4\u2009days after extubation, the incidence of dysphagia in patients with COVID\u201019 undergoing orotracheal intubation was 53.6%. In the late evaluation, performed a mean of 102\u2009days after extubation, 12.8% of patients had an EAT\u201010 score &gt;2. Orotracheal intubation (OTI) duration and tracheostomy were risk factors for the development of dysphagia. There was an association between EAT\u201010\u2009&gt;\u20092 and the presence of laryngotracheal lesion, with no difference between lesion type and EAT score &gt;2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of dysphagia varied according to the time of assessment, being higher the earlier the assessment after extubation. OTI duration and tracheostomy were risk factors for the development of dysphagia, and the presence of laryngotracheal lesions demonstrated an association with dysphagia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.886","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T10:54:22Z","timestamp":1660128862000},"page":"1474-1480","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dysphagia in patients with coronavirus disease undergoing orotracheal intubation"],"prefix":"10.1002","volume":"7","author":[{"given":"Vin\u00edcius Pereira Barbosa","family":"Almeida","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Service, Department of Laryngology and Cervicofacial Surgery Institute of Medical Assistance to the State Public Servant (IAMSPE)  S\u00e3o Paulo 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